NPI | 1114303039 |
---|---|
Former Name | NADINE MARIE BURGEMEISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 087922-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1614A) |
Enumeration Date | 2015-08-03 |
Last Update Date | 2022-07-07 |