| NPI | 1770106734 |
|---|---|
| Former Name | LISETTE CORRALES ALVAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11006824) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0999611-NP) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2024-05-01 |