NPI | 1033605621 |
---|---|
Former Name | RASHIDAH CHISOLM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R191658) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R191658) |
Enumeration Date | 2018-07-06 |
Last Update Date | 2018-07-20 |