NPI | 1558325423 |
---|---|
Former Name | DEBRA LEE SCHWENDEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 0178042305) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9178262) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2011-09-08 |