NPI | 1316300874 |
---|---|
Former Name | JULIANA WIRKPU KINDZEKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 227060-5) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L058567-7) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-01 |