NPI | 1275020356 |
---|---|
Former Name | MICHELLE SOLBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP5464) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 5464) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2023-10-24 |