NPI | 1801554639 |
---|---|
Former Name | AIMEE CATHERINE ILGENFRITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28270613A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016882) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71012108A) | |
Enumeration Date | 2021-11-29 |
Last Update Date | 2024-05-14 |