NPI | 1487126892 |
---|---|
Other Name | MAGGIE BECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019803) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MB5135682) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP019803) | |
Enumeration Date | 2018-12-24 |
Last Update Date | 2023-12-06 |