NPI | 1427619998 |
---|---|
Former Name | MICHAELA MERRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 83668-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-2024) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-25 |
Last Update Date | 2024-07-31 |