NPI | 1346497757 |
---|---|
Former Name | COURTNEY BECKMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111234) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209007230) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2016-09-22 |