NPI | 1710380878 |
---|---|
Former Name | ERIN JACQUELYN LUIKART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9275758) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9275758) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX APRN1035552) | |
Enumeration Date | 2014-10-03 |
Last Update Date | 2024-06-13 |