NPI | 1508361486 |
---|---|
Former Name | JULIANA AQUINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9361938) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9361938) |
Enumeration Date | 2018-03-24 |
Last Update Date | 2021-04-16 |