NPI | 1669627253 |
---|---|
Former Name | KATIE DEFRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71005308A) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28157698A) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2019-10-18 |