NPI | 1730743881 |
---|---|
Former Name | ELLE KORENAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2019023375) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019023375) |
Enumeration Date | 2019-04-24 |
Last Update Date | 2021-02-17 |