| NPI | 1518687417 |
|---|---|
| Former Name | MARIANA LOUISE GOLPHIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 311920) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP026201) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-04-23 |