NPI | 1730898396 |
---|---|
Former Name | MARIANA ISABEL CORPUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16422) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020982) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5019446) | |
Enumeration Date | 2022-11-22 |
Last Update Date | 2025-09-03 |