Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | R158067 | MD |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R158067 | MD |
NPI | 1508184235 |
---|---|
Provider Name | Miss Catherine Kigaya |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201-4606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2010 |
Last Update Date | 14/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
510530700 | (05) | MD |