NPI | 1679783054 |
---|---|
Former Name | ROXANNA R ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R029543) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WY 18885) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: AK 7755) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2007-07-08 |