NPI | 1922351774 |
---|---|
Former Name | DANA MONCADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9494776) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F306073-1) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2019-03-07 |