NPI | 1356108054 |
---|---|
Former Name | LAURA EVANGELINE BAREFOOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: TX 2018081462) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 841048) |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-02-29 |