| NPI | 1346103397 |
|---|---|
| Other Name | DEIRDRA ALYSSA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4046562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1125391) |
| Enumeration Date | 2025-12-06 |
| Last Update Date | 2026-03-18 |