| NPI | 1043670060 |
|---|---|
| Former Name | MICHELLE KLENK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9484614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F0216506) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2022-03-11 |