| NPI | 1295174563 |
|---|---|
| Former Name | ANITA FLORENCE EISENBACHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 140335-0) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-06-13 |