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 |