NPI | 1023225281 |
---|---|
Former Name | ELEN GEBREAB ABRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13304) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 13304) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2024-01-17 |