| NPI | 1598818478 |
|---|---|
| Former Name | MARIA DEURLOO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 26NN07925100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NN07925100) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |