NPI | 1871153668 |
---|---|
Former Name | PATRICE MONIQUE KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 192968) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2019-06-14 |
Last Update Date | 2021-10-13 |