NPI | 1972099778 |
---|---|
Former Name | RENATA BACHI PAULINO DACOSTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704287560) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704287560) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2023-01-11 |