NPI | 1558720706 |
---|---|
Former Name | JEANNIE MARIE CONRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 25697) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN227464) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2022-03-18 |