NPI | 1346640588 |
---|---|
Former Name | PHOEBE N'GONGA CHITILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60670305) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001134) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2024-10-23 |