| 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 | 2025-10-14 |