NPI | 1235682709 |
---|---|
Former Name | CARY LEE HARDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2016030696) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2009017895) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2016-09-09 |