| NPI | 1326745811 |
|---|---|
| Former Name | CHRISTINA DEITEMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9177) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 9177) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-05-17 |