NPI | 1083250609 |
---|---|
Former Name | JANNA SPITZENBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9011) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994863-NP) |
Enumeration Date | 2019-11-19 |
Last Update Date | 2021-06-14 |