NPI | 1316660913 |
---|---|
Former Name | ABBY MCCUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704325564) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704325564) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |