| NPI | 1174820245 |
|---|---|
| Professional Name | HANATI TARWRISA LUBEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN265499) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2015-07-07 |