NPI | 1285789982 |
---|---|
Former Name | CECILIA CZERWINSKE CORRADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9192087) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: FL ARNP9192087) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2023-06-12 |