NPI | 1396458949 |
---|---|
Former Name | ERICA BLAIR LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1096029) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX 1096029) |
Enumeration Date | 2022-12-28 |
Last Update Date | 2023-04-21 |