NPI | 1033686936 |
---|---|
Former Name | ABIGAIL RUTH BIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704289639) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 4704289639) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2023-10-11 |