| NPI | 1043295603 |
|---|---|
| Former Name | TERRI NOVITKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704154586) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704154586) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2018-04-27 |