NPI | 1508576695 |
---|---|
Former Name | PARIS G GUMINIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704342323) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704342323) |
Enumeration Date | 2022-11-29 |
Last Update Date | 2022-12-01 |