| NPI | 1417618190 |
|---|---|
| Former Name | ABIGAIL L PECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209030207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348969) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-09-24 |