NPI | 1598482721 |
---|---|
Former Name | IVANNA BUCHYNSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MD 20259383) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R233624) |
Enumeration Date | 2022-10-27 |
Last Update Date | 2025-06-11 |