NPI | 1578653101 |
---|---|
Former Name | BERNADETTE JUDE BITTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: UT 265514-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 265514-4405) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2021-12-16 |