NPI | 1982621421 |
---|---|
Former Name | MICHELLE M HEUERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209000004) |
Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: IL 41249740) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2014-12-30 |