NPI | 1245671445 |
---|---|
Former Name | ANA RAQUEL PEREIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2287906) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2287906) |
363LF0000X Nurse Practitioner, Family (Licence: RI APRN01977) | |
Enumeration Date | 2013-07-16 |
Last Update Date | 2022-05-24 |