NPI | 1831809466 |
---|---|
Former Name | ANNA FITZGERALD DIERINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185101) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1050656) |
Enumeration Date | 2022-12-05 |
Last Update Date | 2024-03-12 |