NPI | 1306205109 |
---|---|
Former Name | KISHA BRAEGGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA NP95005350) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2021-11-10 |