NPI | 1184102766 |
---|---|
Former Name | CHRISTINE ANN TRUDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704356730) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022981) |
Enumeration Date | 2018-08-05 |
Last Update Date | 2025-08-26 |