| NPI | 1275052805 |
|---|---|
| Former Name | MARIA ROSE MIRANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1034526) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00738900) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2021-07-20 |