NPI | 1730729815 |
---|---|
Former Name | SHAHNAZ HAZEL MONEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN726886) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 441300) |
Enumeration Date | 2020-01-07 |
Last Update Date | 2023-01-11 |