NPI | 1679071252 |
---|---|
Former Name | YAILIN RODRIGUEZ GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9346636) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2018-01-29 |