| NPI | 1265033229 |
|---|---|
| Former Name | KIARA TAKEILA ROUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: VA 0117008922) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CA 43107) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |