NPI | 1922337005 |
---|---|
Former Name | ELKE ALIYAH PRAVDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2262276) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2262276) |
Enumeration Date | 2009-12-18 |
Last Update Date | 2018-10-16 |