NPI | 1992243166 |
---|---|
Former Name | MICHELINA ANN EICHENBERG JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A005037) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2020-05-06 |