NPI | 1851395743 |
---|---|
Former Name | JUDITH GLANN MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60271836) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202100603NP-PP) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD 0387031) | |
Enumeration Date | 2005-06-08 |
Last Update Date | 2022-01-24 |