NPI | 1912111014 |
---|---|
Former Name | DANA L HELLEBUSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 113794) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MO 113794) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2024-02-20 |