| NPI | 1720097389 | 
|---|---|
| Former Name | DEBORAH S BJERSTEDT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 2952)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5429)  | 
| Enumeration Date | 2006-08-05 | 
| Last Update Date | 2024-08-02 |