| NPI | 1316655095 |
|---|---|
| Former Name | REBECCA CHILDRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: AZ 245281) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AZ 245281) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |