NPI | 1386255081 |
---|---|
Former Name | TATIANA DULCE ROCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3016381) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013439) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5013439) | |
Enumeration Date | 2020-08-14 |
Last Update Date | 2021-08-03 |