NPI | 1831163633 |
---|---|
Former Name | MONA BARAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 74217) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP007864) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2011-05-20 |