NPI | 1679761761 |
---|---|
Former Name | GRACE IHSIU LIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28180419A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 841764) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2014-05-23 |