NPI | 1174535306 |
---|---|
Professional Name | JACKIE DEFFENBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209002146) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2010-03-31 |