NPI | 1457249443 |
---|---|
Former Name | CAROLINE MOSIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MI 4704313809) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704313809) |
Enumeration Date | 2025-06-26 |
Last Update Date | 2025-07-02 |