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 |