NPI | 1801320312 |
---|---|
Former Name | MICHAELA STRATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 5090) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R198590-4) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP5090) | |
Enumeration Date | 2017-04-12 |
Last Update Date | 2024-05-17 |