| NPI | 1417329640 |
|---|---|
| Former Name | AGATHA I JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A70897) |
| 207Q00000X Family Medicine (Licence: CA 95069913) | |
| 207R00000X Internal Medicine (Licence: CA A76562) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: WA 60579117) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2021-12-16 |