NPI | 1679022271 |
---|---|
Former Name | KELSIE LEANN MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP131871) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 828097) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP131871) | |
Enumeration Date | 2016-09-25 |
Last Update Date | 2020-08-26 |