| NPI | 1073170023 |
|---|---|
| Former Name | GENNA M ORR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704386893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903237) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-08-14 |