| NPI | 1124288691 |
|---|---|
| Former Name | DERVIE DEL ROSARIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R200494-9) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-08-23 |