NPI | 1912392994 |
---|---|
Other Name | JERRY KEAOPUA COSTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN184402) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN49694) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2015-04-06 |