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 |