| NPI | 1407095631 |
|---|---|
| Former Name | ATHENA MARKELLA DALBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004285) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004285) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2011-04-07 |