NPI | 1689328858 |
---|---|
Former Name | ERICA NICOLE CARL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9562038) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN375227) |
Enumeration Date | 2022-02-07 |
Last Update Date | 2022-02-07 |