NPI | 1194190975 |
---|---|
Former Name | OLGA PELYH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012431) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.012431) |
Enumeration Date | 2015-12-05 |
Last Update Date | 2020-03-11 |