NPI | 1164430526 |
---|---|
Former Name | ROSALINE MICHELLE CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP04803) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: LA AP04803) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN088507-AP04803) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2024-03-19 |