| NPI | 1134509300 | 
|---|---|
| Former Name | MICHELE MARIE DUCHARME | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 3843) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP3843) | 
| Enumeration Date | 2015-06-03 | 
| Last Update Date | 2025-02-03 |