| NPI | 1841691359 |
|---|---|
| Former Name | ELLEN CHANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2294921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2294921) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2021-04-03 |