NPI | 1740700301 |
---|---|
Former Name | TONIA CARDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1055661) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704328162) |
363L00000X Nurse Practitioner (Licence: GA RN296727) | |
Enumeration Date | 2017-06-26 |
Last Update Date | 2023-05-04 |