NPI | 1407366040 |
---|---|
Former Name | TESSA KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0993375) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0993375) |
Enumeration Date | 2017-10-10 |
Last Update Date | 2020-07-24 |