NPI | 1639124670 |
---|---|
Former Name | NANCY MARIE KROL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704149798) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: MI 4704149798) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2007-07-08 |