NPI | 1548852809 |
---|---|
Former Name | OKSANA PETRIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4016261) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95013727) |
Enumeration Date | 2021-02-08 |
Last Update Date | 2024-04-12 |