NPI | 1962026054 |
---|---|
Former Name | GULZAR ISLYAMOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309665) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 706147-1) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-06-04 |