NPI | 1942832118 |
---|---|
Former Name | KRISTEN MARIE FIDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R211593) |
Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: MD R211593) |
Enumeration Date | 2020-02-06 |
Last Update Date | 2023-04-19 |