NPI | 1366256299 |
---|---|
Former Name | MESA MONTIA HULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: GA RN137482) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN137482) |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-02-03 |