NPI | 1205560810 |
---|---|
Former Name | ANN RENE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 69172) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9436440) |
Enumeration Date | 2022-07-11 |
Last Update Date | 2022-08-05 |