NPI | 1801476999 |
---|---|
Former Name | JESSICA ELIZABETH BORCHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019535) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704360664) |
Enumeration Date | 2021-04-12 |
Last Update Date | 2022-10-24 |