NPI | 1023410511 |
---|---|
Former Name | NANCY RODRIGUEZ SISTACHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9367163) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 93677163) |
Enumeration Date | 2014-09-16 |
Last Update Date | 2017-02-01 |