| NPI | 1740658228 |
|---|---|
| Former Name | PAIGE ZIVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001332) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 277001332) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041369841) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2024-08-27 |