NPI | 1639460322 |
---|---|
Former Name | LILLIANA PO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 13800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 559134) |
Enumeration Date | 2011-04-28 |
Last Update Date | 2024-02-06 |