NPI | 1093145062 |
---|---|
Former Name | DOREEN TRICHLER KAZMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704209153) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704209153) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2020-12-16 |