| NPI | 1568537082 |
|---|---|
| Former Name | MARLA J FREUDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 73860-030) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 1361-033) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |