NPI | 1710968912 |
---|---|
Former Name | MERNAMIE CASTARDO CUNAMAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11023649) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP124079) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2023-06-11 |