| NPI | 1093123028 |
|---|---|
| Former Name | MAUREEN E BREDENKAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014025545) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2007004149) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-03-17 |