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 |