NPI | 1750845798 |
---|---|
Former Name | SYDNEY CAROLINE EAGERTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-145339) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-145339) |
Enumeration Date | 2019-01-23 |
Last Update Date | 2022-03-15 |