NPI | 1245598846 |
---|---|
Former Name | MELVIS E NGALLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DE L8-0000189) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047893) |
363L00000X Nurse Practitioner (Licence: DE L8-0000189) | |
Enumeration Date | 2012-05-02 |
Last Update Date | 2019-08-14 |