NPI | 1164181210 |
---|---|
Former Name | HANNAH NICHOLE STANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704321040) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704321040) |
Enumeration Date | 2021-12-15 |
Last Update Date | 2022-01-26 |