NPI | 1063503795 |
---|---|
Former Name | LISA M MCCOSKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP2222) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ RN113958) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2013-05-22 |