NPI | 1396252466 |
---|---|
Former Name | CONNIE L SEIGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28066650A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28066650A) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71007846A) | |
Enumeration Date | 2018-01-10 |
Last Update Date | 2024-03-20 |