NPI | 1952833964 |
---|---|
Former Name | DAYAMIS PENALVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000055) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9439534) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2022-11-14 |