| NPI | 1962067645 |
|---|---|
| Former Name | LI PAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202111087NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP141169) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2021-12-17 |