NPI | 1326619032 |
---|---|
Former Name | JESSICA R ARCHIBALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R211755) |
Enumeration Date | 2021-07-03 |
Last Update Date | 2021-07-03 |