| NPI | 1083034623 |
|---|---|
| Former Name | YUME NAKAMURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008702) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601000706) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2019-01-04 |