NPI | 1801678875 |
---|---|
Former Name | ASHLEY NICOLE KAMHOLZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 14794-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 228717-30) |
Enumeration Date | 2023-10-16 |
Last Update Date | 2024-01-30 |