NPI | 1184117376 |
---|---|
Former Name | MICHELLE A KLAIMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176307) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001265247) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2022-10-26 |