NPI | 1275961294 |
---|---|
Former Name | ERICA MARIE ROSARIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA 61193608) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2021-09-30 |