| NPI | 1902672959 |
|---|---|
| Former Name | MICAH DANIELLE TRUEX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 229074) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-04-24 |