NPI | 1033694922 |
---|---|
Former Name | HELEN E IZUKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209017886) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017886) |
Enumeration Date | 2018-09-26 |
Last Update Date | 2023-03-07 |