NPI | 1679387237 |
---|---|
Former Name | LORETTA A MCLEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 654027) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 654027) |
Enumeration Date | 2025-02-04 |
Last Update Date | 2025-02-04 |