NPI | 1104029107 |
---|---|
Former Name | ANGELINA DENISE MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2835902) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2835902) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN2835902) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2024-10-03 |