Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11391 | CA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 11391 | CA |
NPI | 1043330657 |
---|---|
Provider Name | Ms. Julieann Ai-Te Hsu |
First Address | Loma Linda, CA 92354-3946 |
Second Address | Loma Linda, CA 92354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 26/06/2018 |