| NPI | 1003269135 |
|---|---|
| Former Name | ANNA VICTORIA GATZEMEIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-104255) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-08-01 |