NPI | 1245669464 |
---|---|
Former Name | VERONICA LENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 18567) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 222150) |
163W00000X Registered Nurse (Licence: FL 9294630) | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2013-11-07 |