NPI | 1740767888 |
---|---|
Former Name | DANIELLE KATHY BAITINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 149390) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 772410) |
Enumeration Date | 2018-07-22 |
Last Update Date | 2018-07-22 |