NPI | 1336540012 |
---|---|
Former Name | ALLISON MAKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339137) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627250) |
163W00000X Registered Nurse (Licence: NJ 26NR14780500) | |
Enumeration Date | 2014-09-12 |
Last Update Date | 2018-05-23 |