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 |