NPI | 1316700214 |
---|---|
Former Name | VALERIA BIELKOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35646) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 35646) |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-02-02 |