NPI | 1578071320 |
---|---|
Former Name | CINDY GREGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 11250) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A111729) |
363LP2300X Nurse Practitioner, Primary Care (Licence: IA A111729) | |
Enumeration Date | 2018-01-15 |
Last Update Date | 2021-10-05 |