NPI | 1356731558 |
---|---|
Former Name | THERESE ELIZABETH BACHHUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 15511) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 220675) |
363L00000X Nurse Practitioner (Licence: WI 15511-33) | |
Enumeration Date | 2015-01-27 |
Last Update Date | 2024-11-06 |