NPI | 1225765589 |
---|---|
Former Name | ROSEMITA TELISCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020936) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11020936) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11020936) | |
Enumeration Date | 2022-08-05 |
Last Update Date | 2024-04-22 |