NPI | 1619230331 |
---|---|
Former Name | MICHELLE LYNN JANDURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP2237122) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL aprn2237122) |
Enumeration Date | 2012-06-18 |
Last Update Date | 2024-02-14 |