NPI | 1720316979 |
---|---|
Former Name | MENGFEN CHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 19519) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 19519) |
Enumeration Date | 2009-11-30 |
Last Update Date | 2018-06-14 |