NPI | 1831552603 |
---|---|
Former Name | OMENA PASTORA PHILANDO-WINT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2166932) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2166932) |
363L00000X Nurse Practitioner (Licence: FL 2166932) | |
Enumeration Date | 2016-03-30 |
Last Update Date | 2019-11-12 |