NPI | 1184208035 |
---|---|
Former Name | DESIREE JASMINE PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60862782) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9561343) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2021-05-07 |