NPI | 1821722943 |
---|---|
Former Name | SAMANTHA CHANEL BARBOSA DE VERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 857646) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NV RN89299) |
Enumeration Date | 2022-07-14 |
Last Update Date | 2023-03-26 |