| NPI | 1407159809 |
|---|---|
| Former Name | CALLIE MAI TRUESDALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 688224) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MT NUR-APRN-LIC-202689) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2024-02-22 |