NPI | 1629778394 |
---|---|
Former Name | CAROLINE MARY CANEER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-163116) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-163116) |
Enumeration Date | 2023-03-09 |
Last Update Date | 2024-10-11 |