NPI | 1629268156 |
---|---|
Former Name | RUTH HELEN MICHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP5726) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 071349) |
363LA2100X Nurse Practitioner Acute Care (Licence: CT 003633) | |
363LP2300X Nurse Practitioner Primary Care (Licence: CT 003633) | |
363L00000X Nurse Practitioner (Licence: CT 003633) | |
Enumeration Date | 2007-07-31 |
Last Update Date | 2019-08-27 |