| NPI | 1104339225 |
|---|---|
| Former Name | MARIA AGNES AUSTRIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 818910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 793972) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95007503) | |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2022-10-20 |