NPI | 1952917866 |
---|---|
Other Name | NIKITA ROSE MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 309737) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309737) |
Enumeration Date | 2020-09-17 |
Last Update Date | 2021-10-14 |