NPI | 1275918989 |
---|---|
Former Name | MICHELLE A ENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023204) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9230578) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2023-09-28 |