| NPI | 1518946763 |
|---|---|
| Former Name | MARIAMA PATRICIA YILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333990-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ000508000) |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2018-11-01 |