NPI | 1528204898 |
---|---|
Former Name | MARIE A ARBUTINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010089) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP010622) |
Enumeration Date | 2008-12-17 |
Last Update Date | 2015-08-27 |