NPI | 1356993596 |
---|---|
Former Name | NAIROBI OLLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA RN2291769) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2291769) |
Enumeration Date | 2019-07-09 |
Last Update Date | 2019-12-19 |