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 |