NPI | 1487058228 |
---|---|
Former Name | DESIREE PAIGE DELEGAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 173018) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 75907) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2014-10-21 |