NPI | 1700299047 |
---|---|
Former Name | BECKY GATHERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IA K181785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP032299) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP124480) | |
Enumeration Date | 2014-06-04 |
Last Update Date | 2025-04-04 |