NPI | 1982243721 |
---|---|
Former Name | AIMEE ELIZABETH RODDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 4012335) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018002345) |
Enumeration Date | 2019-12-26 |
Last Update Date | 2024-07-23 |