NPI | 1497305932 |
---|---|
Former Name | HILARY MARINCHAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704305987) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704305987) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2024-11-26 |