NPI | 1538672373 |
---|---|
Former Name | MICHELE DARNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3012101) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71007764A) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2022-06-09 |