NPI | 1326744327 |
---|---|
Former Name | COURTNEY NICHOLE TRAUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP026904) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026904) |
Enumeration Date | 2023-02-01 |
Last Update Date | 2023-02-01 |