NPI | 1467091512 |
---|---|
Former Name | JOLEEN A MAZIANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 232225) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 232225) |
Enumeration Date | 2020-01-06 |
Last Update Date | 2020-08-14 |