| NPI | 1619405461 |
|---|---|
| Former Name | CONSOLACION LICETH HUERFANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11025765) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9175391) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11025765) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11025765) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-03-27 |