| NPI | 1336106350 |
|---|---|
| Former Name | MONICA ANN ROTTINGHAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-44614) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-44614) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-44614) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-03-04 |