NPI | 1962778407 |
---|---|
Former Name | MARGARET MARY LUDEWIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012009895) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375626041) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2021-04-10 |