NPI | 1629623871 |
---|---|
Former Name | SYDNEY NICOLE FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 224936) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY F382992) |
208000000X Pediatrics (Licence: LA 224936) | |
Enumeration Date | 2019-08-05 |
Last Update Date | 2024-06-24 |