| NPI | 1033428016 |
|---|---|
| Former Name | MICHAELLE MOISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016113) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 743758) |
| 363L00000X Nurse Practitioner (Licence: MN 8039) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2024-10-17 |