NPI | 1578705604 |
---|---|
Former Name | LUANNE MARIE BECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1162) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WI 92622-030) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2018-04-11 |