NPI | 1073914628 |
---|---|
Former Name | MARCHELLE DIANE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 698549) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 698549) |
163WH0200X Registered Nurse, Home Health (Licence: TX 698549) | |
Enumeration Date | 2014-09-12 |
Last Update Date | 2014-09-12 |