NPI | 1134479488 |
---|---|
Former Name | CHRISTINA ROHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342838) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 662506) |
363L00000X Nurse Practitioner (Licence: NY 342838) | |
Enumeration Date | 2012-09-13 |
Last Update Date | 2023-06-12 |