| NPI | 1043672074 |
|---|---|
| Former Name | MICHELLE NICOLE MOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: MS 31956) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-08-21 |