| NPI | 1649055369 |
|---|---|
| Former Name | HEATHER LEIGH ELLSWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA NP95026623) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA NP95026623) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |