NPI | 1790044667 |
---|---|
Former Name | PEGGY ANN SEIBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CO 1546) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 119373) |
Enumeration Date | 2012-05-11 |
Last Update Date | 2015-01-20 |