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 |