NPI | 1366158669 |
---|---|
Other Name | LILLY TENAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216626) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA RN216626) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2023-11-06 |