| NPI | 1700836673 |
|---|---|
| Former Name | SPRING A BOEDDEKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R33815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R 194077-4) |
| 363LF0000X Nurse Practitioner Family (Licence: MN CNP 3591) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-02-21 |