NPI | 1902240369 |
---|---|
Former Name | ENYONAM ELSIE GLASU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 655909) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 883777) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2025-04-02 |