NPI | 1477988590 |
---|---|
Former Name | JENELLE HALEY STREFLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71004799A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704278821) |
363LF0000X Nurse Practitioner Family (Licence: MI 2013007660) | |
Enumeration Date | 2013-09-09 |
Last Update Date | 2019-02-05 |