NPI | 1144879222 |
---|---|
Former Name | FAKIRA BORKOVEC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351629) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 148626) |
Enumeration Date | 2019-09-10 |
Last Update Date | 2024-09-16 |