NPI | 1295210953 |
---|---|
Former Name | ASTA IAH HAMAN-DICKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008367) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95086184) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2018-10-24 |