NPI | 1548259625 |
---|---|
Other Name | ANNA MARIE HAUSSECKER AVELINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001885A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28083833A) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2022-11-18 |