| NPI | 1902803208 |
|---|---|
| Former Name | JEAN MARIE DEFFNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP1972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN090566) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2019-02-25 |