| NPI | 1356643076 |
|---|---|
| Former Name | SAPHIE S BANGURAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 514558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN147934) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2023-04-19 |