NPI | 1790248102 |
---|---|
Former Name | SHARON Y CARABALLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26409) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00906100) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2024-05-28 |