| NPI | 1013273325 | 
|---|---|
| Former Name | MAXINE ROSE IGER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-01920)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0990300-NP)  | 
| Enumeration Date | 2012-04-11 | 
| Last Update Date | 2021-04-02 |