NPI | 1548791601 |
---|---|
Former Name | DANIELA OTERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9336828) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9336828) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-08-06 |