NPI | 1871135632 |
---|---|
Former Name | ERIN MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11009919) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9436198) |
Enumeration Date | 2019-10-14 |
Last Update Date | 2021-09-16 |