NPI | 1104878529 |
---|---|
Former Name | MARIA A KIRCHHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014039089) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-76688) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2022-08-19 |