NPI | 1881670933 |
---|---|
Former Name | ADELE L ISKRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 003229) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003229) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2016-01-25 |