NPI | 1225382377 |
---|---|
Former Name | JOELLE ELIZABETH CRESSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN CNP 4234) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60108879) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60320778) | |
163W00000X Registered Nurse (Licence: MN R-180541-1) | |
Enumeration Date | 2012-10-27 |
Last Update Date | 2016-10-03 |