NPI | 1538161203 |
---|---|
Former Name | QUYNH DONA HELGESON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP1931) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN078856) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2016-11-16 |