| NPI | 1871105205 |
|---|---|
| Former Name | ROSEMARY RUTAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010225A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28173872A) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-12-15 |