Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 438309 | CA |
NPI | 1447423298 |
---|---|
Provider Name | Ms. Irene Rodriguez Marker |
First Address | Beverly Hills, CA 90211-3103 |
Second Address | Beverly Hills, CA 90211-3103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 07/09/2011 |