| NPI | 1942849468 |
|---|---|
| Former Name | ADELAIDE ELIZABETH BERTRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R209373) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD R209373) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD R209373) | |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2022-03-15 |