NPI | 1750547741 |
---|---|
Former Name | MARIA STANOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128125) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f335596-1) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2017-08-07 |