NPI | 1285125773 |
---|---|
Former Name | KRISTIE LEE BATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71007979A) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28151086A) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2020-08-03 |