| NPI | 1689730616 |
|---|---|
| Former Name | CAROL D MICSUNESCU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10002835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID CNP61599) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-07-27 |