NPI | 1801414719 |
---|---|
Former Name | MICHELLE LEE FOLTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2020032642) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KS 13-111699-121) |
363LN0000X Nurse Practitioner, Neonatal (Licence: KS 5379701121) | |
Enumeration Date | 2020-07-07 |
Last Update Date | 2024-02-13 |