NPI | 1780076521 |
---|---|
Former Name | AMANDA H SPARGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 102323) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5007500) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2023-09-27 |