NPI | 1902088149 |
---|---|
Former Name | NICOLE JEAN LEHNHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004557) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 132606998) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2023-06-20 |