NPI | 1376072033 |
---|---|
Former Name | MICHELLE MCPHERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 733717-1) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 275799-1) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2022-07-21 |