NPI | 1184607707 |
---|---|
Former Name | JANE F. KOLBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 99750-030) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-232873) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2007-07-09 |