Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R202633 | MD |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R762005 | MS |
NPI | 1477792604 |
---|---|
Provider Name | Ms. Irene Gek-Hia Irby |
First Address | Baltimore, MD 21264-4131 |
Second Address | Annapolis, MD 21401-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2009 |
Last Update Date | 21/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
544102100 | (05) | MD |