NPI | 1891266185 |
---|---|
Former Name | COURTNEY CHERNIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023187) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704280733) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 4704280733) | |
Enumeration Date | 2018-12-11 |
Last Update Date | 2023-08-28 |