NPI | 1740940519 |
---|---|
Former Name | ELENI MAGDALENA ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 086139-21) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 086139-21) |
Enumeration Date | 2021-12-21 |
Last Update Date | 2023-09-06 |