NPI | 1912266107 |
---|---|
Former Name | REGINA MINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2012026432) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-75751) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2023-05-04 |