NPI | 1457689580 |
---|---|
Former Name | ROSEMARY ANNA TIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930196) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 465A) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2023-08-03 |