NPI | 1770080137 |
---|---|
Former Name | MAGGI STIMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: MT NUR-RN-LIC-22622) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-22622) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2018-04-11 |