NPI | 1386197770 |
---|---|
Former Name | MASITA MATUKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71006787A) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006787A) |
363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71006787A) | |
Enumeration Date | 2016-08-02 |
Last Update Date | 2021-06-22 |