NPI | 1174029615 |
---|---|
Former Name | HEATHER CHRISTINE KRATZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.017418) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209017418) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2021-07-14 |