NPI | 1467722249 |
---|---|
Professional Name | JOELYN MARIE ETGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003840A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 13375-NP) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2023-02-06 |