NPI | 1760770762 |
---|---|
Former Name | BRENDA DEVITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX1100X Registered Nurse, Ophthalmic (Licence: UT 6182326-3102) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: UT 6182326-3102) |
163WP2201X Registered Nurse, Ambulatory Care (Licence: UT 6182326-3102) | |
Enumeration Date | 2011-07-12 |
Last Update Date | 2011-07-12 |