NPI | 1972892305 |
---|---|
Former Name | CHENAULL VAN HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704218917) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704218917) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP7702) | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2022-04-15 |