NPI | 1871885285 |
---|---|
Former Name | STEPHANIE SUE BEMISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO NP-990158) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO RN172556) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2011-08-19 |