| NPI | 1609520675 |
|---|---|
| Former Name | COURTNEY LYNN RAMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT NUR-APRN-LIC-192126) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2024-02-09 |