NPI | 1619913019 |
---|---|
Former Name | MARCI MARIE STORY-KRIEGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11012705) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 72051) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2023-08-22 |