NPI | 1285930230 |
---|---|
Former Name | STELLA JEANINE HULTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 903220) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL F1210163) |
363LF0000X Nurse Practitioner Family (Licence: AL 1-110662) | |
133V00000X Dietitian, Registered (Licence: AL 2692) | |
Enumeration Date | 2011-02-08 |
Last Update Date | 2022-08-04 |