NPI | 1366517385 |
---|---|
Former Name | CRISELLE FIGUEROA BEVERICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3485) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-07426) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2019-08-06 |