NPI | 1205342029 |
---|---|
Former Name | KATHRYN BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: IN 71007691A) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71007691A) |
Enumeration Date | 2017-12-15 |
Last Update Date | 2023-02-16 |