NPI | 1558008987 |
---|---|
Former Name | HANNAH MARIE WIRTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 218811) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ 218118) |
Enumeration Date | 2022-05-17 |
Last Update Date | 2022-06-27 |