NPI | 1568785699 |
---|---|
Former Name | DEVAN SHIGETA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 1448) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 66027) |
363LF0000X Nurse Practitioner, Family (Licence: HI RX422) | |
Enumeration Date | 2010-03-03 |
Last Update Date | 2021-06-09 |