NPI | 1174321103 |
---|---|
Former Name | VICTORIA BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 919045) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041416584) |
Enumeration Date | 2025-03-05 |
Last Update Date | 2025-03-05 |