NPI | 1841578127 |
---|---|
Former Name | AMY LYNN KUO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20994) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 20994) |
163W00000X Registered Nurse (Licence: CA 689849) | |
Enumeration Date | 2011-08-03 |
Last Update Date | 2022-07-21 |