| NPI | 1447663257 |
|---|---|
| Former Name | MINDY SEMARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704230198) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.374604) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2023-11-03 |