| NPI | 1114497583 |
|---|---|
| Former Name | MICHELLE D HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012847) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2024-09-11 |