NPI | 1801321393 |
---|---|
Other Name | CAROLYNE BANGURAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 205113) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704277484) |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704277484) | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2024-03-20 |