NPI | 1336697986 |
---|---|
Former Name | DIPTI MAKAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF95004604) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60673487) |
363LF0000X Nurse Practitioner, Family (Licence: WA N260694327) | |
Enumeration Date | 2016-09-13 |
Last Update Date | 2019-02-14 |