NPI | 1548749690 |
---|---|
Former Name | ANNE ELIZABETH GATZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11627) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN179986) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-20 |