NPI | 1376196717 |
---|---|
Former Name | PIPER LEIGH GUNDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26265) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-195043) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034045) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026783) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3015171) | |
Enumeration Date | 2019-07-23 |
Last Update Date | 2024-03-27 |