| NPI | 1821499336 |
|---|---|
| Former Name | CHRISTY LYNN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK R0112502) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2018009258) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: AR R66633) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-04-05 |