NPI | 1033530332 |
---|---|
Former Name | JESSICA FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9297629) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN201137) |
Enumeration Date | 2014-01-04 |
Last Update Date | 2014-01-04 |