| NPI | 1194051037 |
|---|---|
| Former Name | MICHELLE HERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 00241744805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010464) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2019-06-11 |