NPI | 1922373489 |
---|---|
Other Name | TATYANA CHAIMOV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F340835-1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305972-1) |
Enumeration Date | 2012-03-16 |
Last Update Date | 2012-03-16 |