| NPI | 1871339408 |
|---|---|
| Former Name | RAQUEL ELAINE KANSAS DOMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CO 1694707) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |