NPI | 1578535076 |
---|---|
Former Name | CYNTHIA JANE BREMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MN CNP1771) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MN R1083026) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2016-03-11 |