NPI | 1003293481 |
---|---|
Former Name | JENNIFER L PRINZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 45206) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-45206-011) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2024-07-30 |