NPI | 1447611272 |
---|---|
Former Name | LYNDA PANGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004563) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 383045) |
363L00000X Nurse Practitioner (Licence: CA 95004563) | |
Enumeration Date | 2016-03-07 |
Last Update Date | 2019-01-14 |