| NPI | 1043481401 |
|---|---|
| Former Name | MICHELINE SILVIE OUETHY NANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q2858) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2012-02320) |
| 207Q00000X Family Medicine (Licence: AL 49983) | |
| 207Q00000X Family Medicine (Licence: MS 34343) | |
| 207Q00000X Family Medicine (Licence: IL 036.172543) | |
| 207Q00000X Family Medicine (Licence: PA 487856C) | |
| 207Q00000X Family Medicine (Licence: MI EMC0005997) | |
| 207Q00000X Family Medicine (Licence: WI 5063-320) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2025-08-01 |