NPI | 1679163729 |
---|---|
Former Name | SERENA BORRERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 3538413) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9551847) |
163W00000X Registered Nurse (Licence: NY 741684) | |
Enumeration Date | 2021-01-22 |
Last Update Date | 2024-07-02 |