NPI | 1104552108 |
---|---|
Former Name | JANELLE SUE ELINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 95261630) |
Enumeration Date | 2022-08-01 |
Last Update Date | 2022-08-01 |