NPI | 1548692585 |
---|---|
Former Name | ANNE M FREUDENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A155272) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991856) |
163W00000X Registered Nurse (Licence: CO 1619038) | |
363LF0000X Nurse Practitioner, Family (Licence: IA A155272) | |
Enumeration Date | 2013-08-01 |
Last Update Date | 2019-12-04 |