NPI | 1992147425 |
---|---|
Former Name | ANDREA LAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23214) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R201490) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2021-08-19 |