NPI | 1093173411 |
---|---|
Former Name | TIA MCPIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2279E1000X Respiratory Therapist, Registered, Educational (Licence: MO 2006027063) |
Additional Taxonomies | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: MO 2006027063) |
Enumeration Date | 2016-01-29 |
Last Update Date | 2016-01-29 |