NPI | 1578234886 |
---|---|
Former Name | COURTNEY LEIGH MALAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71013024A) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28237991A) |
Enumeration Date | 2021-09-26 |
Last Update Date | 2022-10-31 |