NPI | 1811566128 |
---|---|
Former Name | MARINA SAVOCHKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL F03211123) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-148936) |
363LF0000X Nurse Practitioner, Family (Licence: AL 1-148936) | |
Enumeration Date | 2021-06-21 |
Last Update Date | 2021-08-14 |