NPI | 1922585975 |
---|---|
Former Name | CARLOS E ORIVE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9367177) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9367177) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2021-03-30 |