| NPI | 1255633194 |
|---|---|
| Former Name | MARITA AGNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2258892) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1021608) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 067149-21) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2014-09-26 |