| NPI | 1639769979 |
|---|---|
| Former Name | CHRISTY RANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN267693) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2025-05-21 |