NPI | 1649582610 |
---|---|
Former Name | YANA I BOJILOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201150060NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60225971) |
Enumeration Date | 2010-07-07 |
Last Update Date | 2020-09-18 |