NPI | 1275917684 |
---|---|
Former Name | MONICA L. MINDNICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000862) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0039374) |
363L00000X Nurse Practitioner (Licence: DE LG-0000862) | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2021-09-20 |