NPI | 1386396265 |
---|---|
Former Name | PAULA MICHELLE FRIEDRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0032799) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704298426) |
Enumeration Date | 2022-01-22 |
Last Update Date | 2023-09-27 |