| NPI | 1447922547 |
|---|---|
| Former Name | ANNA BARDGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3016838) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71011627A) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-01-09 |