NPI | 1629088802 |
---|---|
Former Name | GORANKA VUCENOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704223498) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704223498) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2023-11-14 |