| NPI | 1023404266 |
|---|---|
| Former Name | MICHELLE YVONNE MCCONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ AZ15-1486) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 151486) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-02-15 |