NPI | 1205283009 |
---|---|
Former Name | NICOLE ZENTGRAF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R192782) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R192782) |
Enumeration Date | 2016-05-21 |
Last Update Date | 2023-10-02 |