NPI | 1700652344 |
---|---|
Former Name | QUISQUEYA ESPINAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11029834) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 929264213) |
Enumeration Date | 2023-11-27 |
Last Update Date | 2024-05-20 |