NPI | 1336303072 |
---|---|
Former Name | MICHELLE NATALIE MCCALLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN000870) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000870) |
363LF0000X Nurse Practitioner, Family (Licence: NV APRN000870) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APN000870) | |
Enumeration Date | 2008-07-11 |
Last Update Date | 2019-12-20 |