NPI | 1316716491 |
---|---|
Former Name | MYRA VARELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN10000223) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029568) |
Enumeration Date | 2023-12-29 |
Last Update Date | 2025-05-22 |