NPI | 1598112641 |
---|---|
Former Name | JANICE JEAN MECUA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 642234) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 792198) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2016-05-18 |