NPI | 1255814679 |
---|---|
Former Name | MICHELLE RENEE SORENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CNM04289) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: IL 041.431303) |
367A00000X Advanced Practice Midwife | |
Enumeration Date | 2018-09-11 |
Last Update Date | 2022-03-11 |