NPI | 1194483297 |
---|---|
Former Name | JOHANNA VICTORIA RHEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432189) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20140300) |
163W00000X Registered Nurse (Licence: NY 748106) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432189) | |
Enumeration Date | 2021-12-06 |
Last Update Date | 2023-05-13 |