| NPI | 1801632328 |
|---|---|
| Former Name | AMBER KRISTINA MARIE GITTENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11032014) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |