NPI | 1386370179 |
---|---|
Former Name | ESMERALDA MUJANIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016175) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11016175) |
Enumeration Date | 2022-07-25 |
Last Update Date | 2022-07-25 |