NPI | 1154695229 |
---|---|
Former Name | YANA BUNTSIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3004759) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3004759) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2018-07-19 |