| NPI | 1649867680 |
|---|---|
| Former Name | CAPUCINE WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1031604) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 876279) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2021-03-04 |