NPI | 1326620717 |
---|---|
Former Name | MICHELLE JACQUELINE KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704321495) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704321495) |
Enumeration Date | 2021-04-25 |
Last Update Date | 2021-11-26 |