| NPI | 1578599460 |
|---|---|
| Former Name | ROSALIE CAROL DAUFFENBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R070223-0) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MN R070223-0) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |