| 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 |