NPI | 1558814715 |
---|---|
Former Name | ROCIO PENA CASTILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN9324930) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9324930) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL RN9324930) | |
Enumeration Date | 2016-07-25 |
Last Update Date | 2016-12-12 |