NPI | 1134520133 |
---|---|
Former Name | ELIZABETH A KLEINHENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008926) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008926) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2017-04-20 |