NPI | 1104473172 |
---|---|
Former Name | EMILY LU HAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H155252) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H155252) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IA H155252) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: IA H155252) | |
Enumeration Date | 2019-08-23 |
Last Update Date | 2021-04-26 |