NPI | 1912661430 |
---|---|
Former Name | ERIN STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011979A) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: IN 28175159A) |
Enumeration Date | 2021-10-30 |
Last Update Date | 2022-10-17 |