NPI | 1144417635 |
---|---|
Former Name | MARIA CARMELA EVANGELISTA DACANAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304724) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 263257) |
363L00000X Nurse Practitioner (Licence: NY 304724) | |
Enumeration Date | 2007-09-27 |
Last Update Date | 2023-12-20 |