| NPI | 1306005624 |
|---|---|
| Former Name | JENNIFER L MICHALSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 5375694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005033658) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2005033658) | |
| 163W00000X Registered Nurse (Licence: KS 1499928) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2016-12-02 |