NPI | 1255670550 |
---|---|
Former Name | CYNTHIA ALCEUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9295444) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9295444) |
Enumeration Date | 2013-02-06 |
Last Update Date | 2017-03-31 |