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 |