| NPI | 1689200180 |
|---|---|
| Former Name | ANGELICA PERALTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11007646) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL F01201812) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2021-03-24 |