NPI | 1285092635 |
---|---|
Former Name | THERESA TOTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-149681) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9267526) |
163W00000X Registered Nurse (Licence: VA 0001204853) | |
Enumeration Date | 2016-01-31 |
Last Update Date | 2016-01-31 |