| NPI | 1205382538 |
|---|---|
| Former Name | MURIEL ANN VANDERARK |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704285896) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704285896) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-03-22 |