NPI | 1902687395 |
---|---|
Former Name | ROCIO LOURDES URUCHI PONGO DE VIGGIANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024188407) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024188407) |
Enumeration Date | 2023-10-11 |
Last Update Date | 2023-10-11 |