NPI | 1770036873 |
---|---|
Former Name | DANESIS SOCORRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9314898) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9314898) |
Enumeration Date | 2016-07-26 |
Last Update Date | 2023-10-02 |