NPI | 1689329104 |
---|---|
Former Name | SYDNEY ELAINE LETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ01128900) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 26NJ01128900) |
Enumeration Date | 2022-02-14 |
Last Update Date | 2024-11-15 |