| NPI | 1396086260 |
|---|---|
| Other Name | MARJORIE HOTTENSTEIN/ DEANGELO/ SUPRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500013367) |
| Enumeration Date | 2013-03-02 |
| Last Update Date | 2025-10-01 |