| NPI | 1053577163 |
|---|---|
| Former Name | MARIANNE ERVIN VESTERFELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704195880) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2021-05-03 |