NPI | 1467973347 |
---|---|
Former Name | CHRISTAN ZEAGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22765) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993165-NP) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2019-06-17 |