NPI | 1760115372 |
---|---|
Former Name | EDITH NGYEH LUFUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1071653) |
Enumeration Date | 2022-07-01 |
Last Update Date | 2024-04-17 |