NPI | 1184637332 |
---|---|
Former Name | PHYLIS CHRISTIAN RAGLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006287B) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: PA RN205677L) |
163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: PA RN205677L) | |
163WE0003X Registered Nurse, Emergency (Licence: PA RN205677L) | |
Enumeration Date | 2006-08-15 |
Last Update Date | 2013-08-16 |