NPI | 1255053633 |
---|---|
Former Name | BAILEY ANN MCCREADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2022028520) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-81447-062) |
Enumeration Date | 2022-09-13 |
Last Update Date | 2022-09-13 |