NPI | 1467042671 |
---|---|
Former Name | ROSA LINDA MERGENTHAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-182024) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 161692) |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-01-21 |