NPI | 1356763643 |
---|---|
Former Name | CAROLYN MARIE WERDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5010739) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 068840-23) |
Enumeration Date | 2014-01-06 |
Last Update Date | 2025-03-05 |