NPI | 1033358338 |
---|---|
Former Name | CHRISTINA P HANABERGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9187101) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9187101) |
Enumeration Date | 2009-02-10 |
Last Update Date | 2021-05-05 |