| NPI | 1649629973 |
|---|---|
| Former Name | JOHANNA VALENTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33341442) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702584-1) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-08-18 |