NPI | 1295422004 |
---|---|
Former Name | NICOLETTE ROMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 777198) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: HI 89824) |
Enumeration Date | 2023-04-20 |
Last Update Date | 2023-04-20 |