NPI | 1053567990 |
---|---|
Former Name | MICHELLE MARIE KESSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010208) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344098) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2021-04-06 |