NPI | 1316163025 |
---|---|
Former Name | ARIANA JANE ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334364) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 512951) |
363LF0000X Nurse Practitioner, Family (Licence: CT 006193) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2025-04-04 |