NPI | 1972195873 |
---|---|
Former Name | KAREN BERRIOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011426) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11011426) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11011426) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11011426) | |
Enumeration Date | 2021-02-11 |
Last Update Date | 2023-01-19 |