NPI | 1780304162 |
---|---|
Former Name | SONJA LYNNE NOTESTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71013287A) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28162270A) |
Enumeration Date | 2022-08-29 |
Last Update Date | 2023-06-23 |