NPI | 1396447462 |
---|---|
Former Name | PRISCILLA PAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11016648) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11016648) |
Enumeration Date | 2023-03-21 |
Last Update Date | 2024-05-13 |