NPI | 1457615155 |
---|---|
Former Name | CHANTEE SEUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R30750) |
Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: ND R30750) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2015-01-12 |