| NPI | 1023670049 |
|---|---|
| Former Name | MICHELLE JARVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: WI 1590004908) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2019-06-29 |