Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | R178102 | MD |
NPI | 1053719955 |
---|---|
Provider Name | Emily Suzanne Rosier |
First Address | Silver Spring, MD 20910-1460 |
Second Address | Silver Spring, MD 20910-1460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2014 |
Last Update Date | 09/12/2014 |