| NPI | 1831854249 |
|---|---|
| Other Name | MARY LENNIS BERRIOS AGOSTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014921) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11014921) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2023-10-18 |