NPI | 1972167153 |
---|---|
Former Name | KRISTA LANGENBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023563) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704286243) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2025-07-14 |