NPI | 1306465919 |
---|---|
Former Name | MICHELLE ABBADUSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002306) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021191) |
Enumeration Date | 2020-04-14 |
Last Update Date | 2024-02-15 |