NPI | 1194195487 |
---|---|
Former Name | REGINA MARTHA STELTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005790A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6305 - 33) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2015-09-30 |