NPI | 1346663820 |
---|---|
Former Name | MICHELLE JOYCE SIEMENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95013872) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013872) |
Enumeration Date | 2014-02-04 |
Last Update Date | 2024-05-16 |