NPI | 1538696174 |
---|---|
Former Name | JENNIFER KAY GOLSAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2279G1100X Respiratory Therapist, Registered, General Care (Licence: OR RTP10135828) |
Enumeration Date | 2017-05-14 |
Last Update Date | 2018-01-26 |