NPI | 1225547458 |
---|---|
Former Name | JIE CHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007420) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 836069) |
363L00000X Nurse Practitioner (Licence: TX AP136060) | |
Enumeration Date | 2017-09-20 |
Last Update Date | 2022-11-30 |