NPI | 1831632843 |
---|---|
Former Name | CHRISTINA PECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017141) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA NP95005438) |
Enumeration Date | 2016-11-22 |
Last Update Date | 2023-02-08 |