NPI | 1487650875 |
---|---|
Former Name | MARY HELEN ZNAVOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001511A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704262427) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2023-05-01 |