NPI | 1265997480 |
---|---|
Former Name | EMALYN PHILLIPS LOH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2293050) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA RN2293050) |
Enumeration Date | 2019-02-01 |
Last Update Date | 2020-10-27 |