NPI | 1184334617 |
---|---|
Former Name | ERIKA R TIPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 9758) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN 2431334) |
Enumeration Date | 2022-11-23 |
Last Update Date | 2023-08-03 |