NPI | 1578383394 |
---|---|
Former Name | TETYANA TUPYTSIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15127300) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ15127300) |
Enumeration Date | 2024-10-15 |
Last Update Date | 2024-10-15 |