| NPI | 1558867606 |
|---|---|
| Former Name | LENEA RAE HARDIMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704230460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704230460) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704230460) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704230460) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-02-01 |