NPI | 1356654743 |
---|---|
Former Name | FRANCISCA CHINAGOROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 338352) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338352) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2022-07-21 |