| NPI | 1992148738 |
|---|---|
| Former Name | COURTNEY L NIBBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 65606) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-43539) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2019-07-18 |