| NPI | 1104136902 |
|---|---|
| Former Name | DOREEN RUTH HABITZREUTHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 3395501) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |