| NPI | 1922232685 |
|---|---|
| Former Name | NANCY ANN MARIE BACKALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L8-0000103) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L1-0036733) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2011-11-02 |