NPI | 1922472620 |
---|---|
Former Name | LAURA ROBIN KRETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000322) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN267781) |
363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000322) | |
Enumeration Date | 2015-11-18 |
Last Update Date | 2019-09-04 |