NPI | 1750993481 |
---|---|
Former Name | NIVA JAMICE KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 898121) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: AL 1-109693) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2020-10-24 |