NPI | 1982653549 |
---|---|
Former Name | MARYANN VOGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2832) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA I4829) |
363L00000X Nurse Practitioner (Licence: AZ RN148020) | |
Enumeration Date | 2006-05-09 |
Last Update Date | 2008-10-30 |