NPI | 1790151405 |
---|---|
Former Name | ALICE HAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95002830) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95002830) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95002830) | |
Enumeration Date | 2015-08-17 |
Last Update Date | 2024-09-17 |