| NPI | 1982051785 |
|---|---|
| Former Name | PATRICIA M DURSTELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 344443-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 344443-4405) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: UT 344443-4405) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: UT 344443-4405) | |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2021-11-19 |