NPI | 1043648579 |
---|---|
Former Name | MARY JOSEPHINE VENTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OR 201392948CNS-PP) |
Enumeration Date | 2013-10-18 |
Last Update Date | 2014-01-21 |