NPI | 1811507700 |
---|---|
Former Name | ERIKA BARBOSA RACY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5015002) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 244069) |
363L00000X Nurse Practitioner (Licence: NC RICH-525DW) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5015002) | |
Enumeration Date | 2020-08-05 |
Last Update Date | 2024-07-30 |