| NPI | 1215588108 |
|---|---|
| Former Name | YANET RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA TEMPARN0028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 003780) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 10327) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID CNP64170) | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2021-07-02 |