NPI | 1235802679 |
---|---|
Former Name | WHITNEY MATTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO RN.1637781) |
Enumeration Date | 2021-07-30 |
Last Update Date | 2024-09-19 |