NPI | 1265172191 |
---|---|
Former Name | JOANA SOFIA WYSZYNSKI SILVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015917) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F01220957) |
Enumeration Date | 2022-03-30 |
Last Update Date | 2024-08-28 |