| NPI | 1063005197 |
|---|---|
| Former Name | MICHELLE TRANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP211371) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-173336) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-08-12 |