NPI | 1760703037 |
---|---|
Former Name | RENAE G CHERNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111956) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704246800) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2016-10-11 |