NPI | 1861776064 |
---|---|
Former Name | RO KILLORY ANDERSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 243125) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA 19411646) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2011-10-06 |