NPI | 1306413620 |
---|---|
Former Name | VANESSA DAWN SUKOVATY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NE 113668) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NE 72365) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-06 |
Last Update Date | 2021-08-23 |