NPI | 1326456385 |
---|---|
Former Name | NINA ANTONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132199) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704282983) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2024-02-26 |