| NPI | 1104979897 |
|---|---|
| Former Name | MICHELLE R CHAUDOIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002982) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2015-09-24 |