NPI | 1790921831 |
---|---|
Former Name | JANITZA CORTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA4980) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 282694) |
Enumeration Date | 2008-12-19 |
Last Update Date | 2014-03-19 |