NPI | 1356634729 |
---|---|
Former Name | LUANA B FERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN921890) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9218090) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9218090) | |
Enumeration Date | 2011-05-18 |
Last Update Date | 2022-01-15 |