NPI | 1134613938 |
---|---|
Former Name | MICHELLE ANN POPOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 219809) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO CAPN0101820CNP) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033277) | |
363LF0000X Nurse Practitioner, Family (Licence: UT 14039411-4405) | |
163WE0003X Registered Nurse, Emergency (Licence: AZ RN098743) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61581069) | |
Enumeration Date | 2018-06-15 |
Last Update Date | 2024-08-22 |