NPI | 1164180394 |
---|---|
Former Name | AMY MICHELE MENSAKC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2278G1100X Respiratory Therapist, Certified General Care (Licence: FL RT12470) |
Additional Taxonomies | 2278E1000X Respiratory Therapist, Certified Educational (Licence: FL RT12470) |
Enumeration Date | 2021-12-05 |
Last Update Date | 2021-12-05 |