| NPI | 1215445622 |
|---|---|
| Professional Name | COURTNEY ROSE POTTGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2017040265) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-09-06 |