NPI | 1871141804 |
---|---|
Former Name | KARLA P MALDONADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020857) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN650820) |
363L00000X Nurse Practitioner (Licence: PA SP020857) | |
Enumeration Date | 2019-09-03 |
Last Update Date | 2024-04-09 |