NPI | 1598010001 |
---|---|
Former Name | LIA VALENTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014642) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00385300) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2015-08-03 |