NPI | 1811415227 |
---|---|
Former Name | EMILY KROGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277001732) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016477) |
Enumeration Date | 2017-09-06 |
Last Update Date | 2025-03-04 |