NPI | 1275188146 |
---|---|
Former Name | IVA MARIJA PETROVCHICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA NP95012389) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95138547) |
363L00000X Nurse Practitioner (Licence: CA 95012389) | |
Enumeration Date | 2019-08-07 |
Last Update Date | 2023-08-02 |