| NPI | 1922537992 |
|---|---|
| Former Name | JACQUE THERESE ACKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP5173) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP5173) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2020-02-20 |