| NPI | 1396427761 |
|---|---|
| Former Name | SELINA SAMUELLE STA ANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 873582) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NY 873582) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-09-19 |