NPI | 1487191680 |
---|---|
Other Name | MARIA VARAKUTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174370) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174370) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2020-09-16 |