NPI | 1225361439 |
---|---|
Former Name | ALICIA M SCOLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 164652-30) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 164652-30) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2009-09-08 |