NPI | 1154634061 |
---|---|
Former Name | MARY KATHERINE RABREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.4297 APRN) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 51001) |
Enumeration Date | 2010-07-20 |
Last Update Date | 2018-10-22 |