NPI | 1821301656 |
---|---|
Former Name | ALICIA LOUISE BOOKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 619235-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 325063) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2010-07-21 |