NPI | 1912180746 |
---|---|
Former Name | LEILANI THERESA HUBENER, VANHOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7473) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 217746) |
207Q00000X Family Medicine (Licence: TN 15068) | |
Enumeration Date | 2007-12-15 |
Last Update Date | 2017-11-02 |