| NPI | 1568700409 |
|---|---|
| Former Name | BARBARA MARIANNE ILLGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 681099) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |