NPI | 1164953576 |
---|---|
Other Name | DAISY HODGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95169891) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 686560) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2018-09-17 |