NPI | 1790423598 |
---|---|
Former Name | MAKEDA HOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 741401) |
Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NY 741401) |
Enumeration Date | 2022-05-23 |
Last Update Date | 2023-10-18 |