NPI | 1790233765 |
---|---|
Former Name | GENEVA NOELLE KNUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA N95005449) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MA RN2303029) |
163W00000X Registered Nurse (Licence: MA RN2303029) | |
163W00000X Registered Nurse (Licence: CA 95102883) | |
363LW0102X Nurse Practitioner Women's Health (Licence: CA NPF95005449) | |
363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MA NP95005449) | |
Enumeration Date | 2016-09-19 |
Last Update Date | 2022-07-21 |