NPI | 1477617157 |
---|---|
Former Name | DEBRA LYNN LUEGENBIEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71001184A) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-07-08 |