NPI | 1225780661 |
---|---|
Former Name | CHERYL ANN JAEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 283421) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704321855) |
Enumeration Date | 2022-01-26 |
Last Update Date | 2023-11-14 |