NPI | 1518671726 |
---|---|
Former Name | AMANDA AHRENHOLZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MN 11417) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: ND R46139) |
363L00000X Nurse Practitioner (Licence: ND R46139) | |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ND R46139) | |
Enumeration Date | 2023-01-11 |
Last Update Date | 2025-01-24 |