| NPI | 1154837623 |
|---|---|
| Former Name | YONAISA PORTALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9234740) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9234740) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-05-21 |