NPI | 1689458382 |
---|---|
Former Name | LINDSEY ALEXIS VANLIEROP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704343048) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704343048) |
Enumeration Date | 2023-08-23 |
Last Update Date | 2023-10-19 |