| NPI | 1104150861 |
|---|---|
| Former Name | SANDRA LLERENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9220697) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9220697) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9220697) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2022-06-01 |