NPI | 1619290210 |
---|---|
Former Name | KATIA TOLEDO CERQUEIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL arnp9266612) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL RN9266612) |
Enumeration Date | 2010-03-10 |
Last Update Date | 2013-07-31 |