NPI | 1275332660 |
---|---|
Former Name | MICHELLE LAUREN PINKELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2025006756) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-84128-071) |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-26 |