| NPI | 1962822411 |
|---|---|
| Former Name | SELENA AVITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: NV RN66436) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN00116502) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |