NPI | 1134527492 |
---|---|
Other Name | BETTY NMN DE LOS SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 198640) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 198640) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 2980742) | |
Enumeration Date | 2014-12-18 |
Last Update Date | 2024-07-26 |