NPI | 1063956498 |
---|---|
Former Name | LLUBIA SUSANA CORELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC 1020395) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024174162) |
Enumeration Date | 2016-12-04 |
Last Update Date | 2023-02-09 |