| NPI | 1730590290 |
|---|---|
| Former Name | ANNA THERESA FELLMANN NABET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61270335) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A138371) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2022-07-28 |