NPI | 1548919103 |
---|---|
Former Name | NIKOSAZANA GREENE-ALAEZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN318352) |
Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA RN318352) |
Enumeration Date | 2022-03-21 |
Last Update Date | 2024-05-23 |