| NPI | 1598930059 |
|---|---|
| Former Name | MEDIE ALITA JESENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15259) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 15259) |
| 208000000X Pediatrics (Licence: CA NP15259) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2023-03-23 |