NPI | 1871725333 |
---|---|
Former Name | DEBORAH KATHRYN JAHNKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2705) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R160750-9) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2025-01-17 |