NPI | 1265896799 |
---|---|
Former Name | ADRIENNE CHRISTINE TOLLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 531891) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 531391) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2016-04-11 |