NPI | 1003417288 |
---|---|
Former Name | ARIANE MONIQUE DOMINGO CHUA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01050800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 671486) |
163W00000X Registered Nurse (Licence: NJ 26NR16919200) | |
Enumeration Date | 2020-11-04 |
Last Update Date | 2020-11-04 |