NPI | 1023731650 |
---|---|
Former Name | ERNAN ADRIANKA MAXWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL AG07220009) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2025-10-03 |