| NPI | 1093094419 |
|---|---|
| Former Name | MICHELLE MORMILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH RN.341314) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704295279) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2016-01-14 |