NPI | 1720026768 |
---|---|
Former Name | GWEN ROHDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R22146) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R22146) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2018-04-05 |