NPI | 1538778378 |
---|---|
Former Name | HELENA SYLVIA TAVAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11008313) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11008313) |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-12-22 |