NPI | 1427559954 |
---|---|
Former Name | AYLIN E JERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704269893) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704269893) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-12-18 |