NPI | 1356699680 |
---|---|
Former Name | MARCIA BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP018860) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP010127) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-03-21 |