NPI | 1508038084 |
---|---|
Former Name | OENHA PAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F1107161) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 614946) |
363L00000X Nurse Practitioner (Licence: CA 17533) | |
Enumeration Date | 2008-03-25 |
Last Update Date | 2021-06-14 |