NPI | 1114984861 |
---|---|
Former Name | ZHANNA E GRIGORYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP006689B) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA TP0006689B) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2024-06-07 |