NPI | 1659648509 |
---|---|
Former Name | ADRIENNE NICOLE GUTKNECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 1-118518) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18688) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN202617) | |
Enumeration Date | 2011-11-21 |
Last Update Date | 2023-09-15 |