NPI | 1235104076 |
---|---|
Former Name | VICTORIA MARIE KYRIAKOU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301797) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 301797) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2019-05-31 |