NPI | 1174318232 |
---|---|
Former Name | ABIGAIL S ADEN |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IL 209032264) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041483773) |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-05-27 |