NPI | 1992155428 |
---|---|
Former Name | CARA BECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17058) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209018763) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209018763) | |
Enumeration Date | 2016-06-15 |
Last Update Date | 2025-08-01 |