NPI | 1194595447 |
---|---|
Former Name | MICHELLE NICOLE STROHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 15004-33) |
Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: WI 168435) |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-02-08 |