NPI | 1063560290 |
---|---|
Other Name | LILY PIMPHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 12678) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 522582) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2022-08-31 |