| NPI | 1679705107 |
|---|---|
| Former Name | MARTHA C HARTWICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4670) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF19022) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 608593) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2020-08-07 |