NPI | 1770502684 |
---|---|
Former Name | KAREN ANN CROSS SANTIAGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN1278032) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN1278032) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2021-05-18 |