NPI | 1578812178 |
---|---|
Former Name | MICHELLE D BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3008756) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R876857) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2014-07-16 |