NPI | 1790961480 |
---|---|
Former Name | GINNA ELIZABETH SYLVANUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009820) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: PA RN556396) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2019-08-15 |