| NPI | 1962929133 |
|---|---|
| Former Name | COURTNEY MCKENZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP11144) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23093) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 23093) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 23093) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AZ AP11144) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-07-27 |