NPI | 1841654092 |
---|---|
Other Name | ALFA DE LA CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403637) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701635) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2022-12-22 |