NPI | 1982139846 |
---|---|
Former Name | REBECCA MEADS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007367) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 847590) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2021-12-14 |