NPI | 1730898396 |
---|---|
Former Name | MARIANA ISABEL CORPUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019446) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020982) |
Enumeration Date | 2022-11-22 |
Last Update Date | 2024-10-01 |