| NPI | 1700393857 |
|---|---|
| Former Name | CORTNEY MORGAN KANIEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN239471) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN239471) |
| 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: GA RN239471) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-07-06 |