| NPI | 1982321089 |
|---|---|
| Former Name | ANIEL LA ROSA ABASCAL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11022202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9497132) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |