| NPI | 1053603357 |
|---|---|
| Former Name | WENDY SUZANNE BEAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: CO APN.0990165-NP) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: CO 164391) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2021-12-20 |