NPI | 1992520357 |
---|---|
Professional Name | JORGE LUIS BRENA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 11111) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 98776) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NM 87643) | |
Enumeration Date | 2024-11-20 |
Last Update Date | 2024-11-20 |