NPI | 1396073201 |
---|---|
Former Name | LEANNE GLOTZBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-75065-031) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-93924-031) |
Enumeration Date | 2009-12-04 |
Last Update Date | 2024-09-04 |