NPI | 1588913933 |
---|---|
Former Name | DEBERA KATRINA COONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: IL 194004329) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2012-08-30 |