NPI | 1487153912 |
---|---|
Former Name | MICHELLE DENIZ SCHRAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010271) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010271) |
Enumeration Date | 2018-02-11 |
Last Update Date | 2024-12-13 |