| NPI | 1326440819 |
|---|---|
| Former Name | NADINE YVANKA HULLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2894) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09432) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-09-14 |