| NPI | 1912150673 |
|---|---|
| Former Name | RENE ROCHELLE URBAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704200966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704200966) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-02-06 |