NPI | 1104079706 |
---|---|
Former Name | ROBERTA REMUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 182732) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2008-10-28 |
Last Update Date | 2012-04-11 |