| NPI | 1609370238 |
|---|---|
| Former Name | MARJORIE PETIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN260667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN136465) |
| 163W00000X Registered Nurse (Licence: CA 676824) | |
| 163W00000X Registered Nurse (Licence: NC 289592) | |
| 163W00000X Registered Nurse (Licence: VA 0001210248) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |