NPI | 1588756605 |
---|---|
Former Name | INGELIN LONO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 1451004011) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 44330) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-08 |