NPI | 1841565728 |
---|---|
Former Name | TERRE D HIMMELREICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008890) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC000985) |
Enumeration Date | 2012-03-12 |
Last Update Date | 2023-03-07 |