NPI | 1447641717 |
---|---|
Other Name | REBA VAN KOOTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WY 30868) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2020-03-17 |