NPI | 1427600030 |
---|---|
Former Name | GENESIS VIEYRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9344025) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9344025) |
Enumeration Date | 2019-07-13 |
Last Update Date | 2023-07-12 |