NPI | 1831957570 |
---|---|
Former Name | NANCY EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704307850) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704307850) |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-05-06 |