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 |