NPI | 1447331830 |
---|---|
Former Name | DEBORAH LYNN NITTMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 0003763) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 118112) |
208D00000X General Practice (Licence: CO 3763NP) | |
363L00000X Nurse Practitioner (Licence: CO 3763) | |
Enumeration Date | 2006-10-18 |
Last Update Date | 2023-12-01 |