| NPI | 1184046336 |
|---|---|
| Former Name | MICHELE DIANE PEARCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 84737) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OK 84737) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-05-01 |