NPI | 1194350967 |
---|---|
Former Name | LETISHA KATHLEEN ARCOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95098353) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 555959) |
Enumeration Date | 2020-03-11 |
Last Update Date | 2020-03-11 |