NPI | 1043802648 |
---|---|
Former Name | AWILDA VALENTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023218) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP023218) |
363LP2300X Nurse Practitioner Primary Care (Licence: PA SP023218) | |
Enumeration Date | 2021-02-05 |
Last Update Date | 2025-05-31 |