NPI | 1932657004 |
---|---|
Former Name | WHITNEY MARIE BIRCHMEIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209031280) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704283654) |
363LF0000X Nurse Practitioner, Family (Licence: IA A171163) | |
Enumeration Date | 2016-09-16 |
Last Update Date | 2024-12-30 |