NPI | 1427729599 |
---|---|
Former Name | ELIZABETH RANNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267505) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN160458) |
Enumeration Date | 2021-09-28 |
Last Update Date | 2022-01-06 |