NPI | 1487338372 |
---|---|
Former Name | YULIYA YAKIMOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11026897) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11026897) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11026897) | |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-12-01 |