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 |