| NPI | 1548502495 |
|---|---|
| Former Name | DESIREE DIAN ROSALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 2013001517) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28130302A) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2016-05-19 |