NPI | 1770234734 |
---|---|
Former Name | KORNY SLOAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2022001724) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016007582) |
Enumeration Date | 2022-01-11 |
Last Update Date | 2022-09-01 |