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 |