NPI | 1598019697 |
---|---|
Former Name | JOVEL VILORIA BROQUEZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61586857) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10029352) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000517) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 277000517) | |
Enumeration Date | 2012-10-29 |
Last Update Date | 2025-09-19 |