NPI | 1366879439 |
---|---|
Former Name | KRIS J SENO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9258344) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9258344) |
Enumeration Date | 2013-10-03 |
Last Update Date | 2014-10-10 |