| NPI | 1124132402 |
|---|---|
| Former Name | JOLYNN SUE MULDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704114059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704114059) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-05-25 |