NPI | 1659993152 |
---|---|
Former Name | RENEE NELLIS/DEJAYNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3011101) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IN 09000287A) |
367A00000X Advanced Practice Midwife (Licence: CNM04005) | |
Enumeration Date | 2020-05-07 |
Last Update Date | 2023-12-01 |