| NPI | 1215607247 |
|---|---|
| Former Name | BAILEY ANNE MODESITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71012772A) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: IN 28225172A) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-09-28 |