NPI | 1225584584 |
---|---|
Former Name | LEYDIS MARLEN VARONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005358) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9337001) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2024-05-21 |