NPI | 1639455892 |
---|---|
Former Name | LUANN THERESE FILTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7352) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 4637-33) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2020-08-07 |