NPI | 1720263734 |
---|---|
Former Name | KAYAO TAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 273320) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 273320) |
Enumeration Date | 2008-01-09 |
Last Update Date | 2021-11-15 |