NPI | 1518376490 |
---|---|
Other Name | MAGGIE TRAEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704266531) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN 0991244-NP) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2023-07-26 |