NPI | 1285093591 |
---|---|
Former Name | NORMA KUZANGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201803489NP-PP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9237559) |
363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60654996) | |
Enumeration Date | 2016-02-15 |
Last Update Date | 2018-06-06 |