NPI | 1952340762 |
---|---|
Former Name | GENEVA GERTRUDE BILDERBACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP2132) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN132657) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 681651) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2022-12-21 |