NPI | 1184102519 |
---|---|
Former Name | MICHELLE LYNN MAKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 218028) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: AZ RN164877) |
Enumeration Date | 2018-07-28 |
Last Update Date | 2022-02-28 |