NPI | 1083681332 |
---|---|
Former Name | KRISTEN E LUGGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2786-33) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 0208183) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2019-03-01 |