NPI | 1457073017 |
---|---|
Former Name | KRISTA NICOLE NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71013049A) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28225152A) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71013049A) | |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-01-05 |