NPI | 1508349341 |
---|---|
Former Name | ELIZABETH MICHAEL KRANTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-131606) |
Enumeration Date | 2018-09-07 |
Last Update Date | 2018-09-07 |