NPI | 1932622107 |
---|---|
Former Name | DAYNA SKOLKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 832680) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP134474) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2021-09-27 |