NPI | 1306070297 |
---|---|
Former Name | MARCI R LANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3731) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 148371) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2024-12-30 |