NPI | 1588407928 |
---|---|
Former Name | LARISA KRIVOSHAPOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030451) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95030451) |
Enumeration Date | 2024-06-14 |
Last Update Date | 2024-08-06 |