| NPI | 1821481433 |
|---|---|
| Former Name | ANA KISIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 6267) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 073339-23) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 6267) | |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2018-12-13 |