NPI | 1548390602 |
---|---|
Former Name | ANN LOUIS MADISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9227088) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AK 19879) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |