NPI | 1003312489 |
---|---|
Former Name | ADRIANN JEPPESEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 58219) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 58219) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2020-04-02 |