NPI | 1336923523 |
---|---|
Former Name | SASHA MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 82451) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5382451) |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-10-11 |