| NPI | 1528688017 |
|---|---|
| Former Name | MAURINE E VANHOUTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000027231) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202203877NP-PP) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2024-03-25 |