NPI | 1215164066 |
---|---|
Former Name | CONNIE J HENDRIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO 77980) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 77980) |
363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-44709-091) | |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 53-44709-091) | |
Enumeration Date | 2009-06-19 |
Last Update Date | 2014-11-15 |