NPI | 1922443266 |
---|---|
Former Name | DENISE DIEP THI TRAN-BOELZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK APN112166) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990240-NP) |
Enumeration Date | 2013-04-30 |
Last Update Date | 2023-10-26 |