NPI | 1386277051 |
---|---|
Former Name | ALAYNA JOAN KALOGRIDIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345654) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701796) |
Enumeration Date | 2020-02-20 |
Last Update Date | 2022-12-06 |