| NPI | 1790882397 |
|---|---|
| Former Name | MIRIAM LEE DURAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 379-297 RN) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301536 NP) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2021-12-06 |