NPI | 1649459330 |
---|---|
Former Name | AUTUMN SNEATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71002091A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002091A) |
363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28145312A) | |
Enumeration Date | 2007-10-30 |
Last Update Date | 2023-05-04 |