NPI | 1811760572 |
---|---|
Former Name | OLIVIA ROSE ROCHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1113074) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1113074) |
Enumeration Date | 2023-11-03 |
Last Update Date | 2024-05-15 |