| 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 |