NPI | 1427564921 |
---|---|
Former Name | CHRISTINA MENTZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703111991) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704377448) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2021-09-13 |