NPI | 1942602578 |
---|---|
Former Name | CATHY MARCUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 642413) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 642413) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2014-11-03 |