NPI | 1831756386 |
---|---|
Former Name | MARINA GEORGETTE RUTHERFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN671117) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: PA RN671117) |
Enumeration Date | 2019-05-21 |
Last Update Date | 2019-05-21 |