NPI | 1003203266 |
---|---|
Other Name | PRISCILLA A SEVERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 701089-1) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 315747) |
Enumeration Date | 2015-04-24 |
Last Update Date | 2018-03-06 |