NPI | 1124386990 |
---|---|
Former Name | YAEL DIANA HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9330676) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336927-1) |
Enumeration Date | 2012-04-30 |
Last Update Date | 2021-01-06 |