NPI | 1124409537 |
---|---|
Former Name | JUDITH NEH SHU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP3949) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1880685) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2024-10-15 |