NPI | 1144499948 |
---|---|
Former Name | SELENA KATHERINE EASTERLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WX0106X Registered Nurse, Occupational Health (Licence: GA RN033605) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2010-09-02 |