NPI | 1396318051 |
---|---|
Former Name | MEGAN ANN BUCHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704342252) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704342252) |
Enumeration Date | 2021-07-21 |
Last Update Date | 2024-12-10 |