NPI | 1073235313 |
---|---|
Former Name | HOLLEY MCGUIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 056107-23) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VT 026.0029792) |
Enumeration Date | 2022-09-14 |
Last Update Date | 2022-12-08 |