NPI | 1285120659 |
---|---|
Former Name | MIRANDA NICOLE ROCKOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A129710) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA A129710) |
208M00000X Hospitalist (Licence: IA A129710) | |
Enumeration Date | 2018-07-09 |
Last Update Date | 2025-04-23 |