NPI | 1063509081 |
---|---|
Former Name | SVETLANA NERONOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334961) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01230100) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2022-12-22 |