NPI | 1235881095 |
---|---|
Former Name | MICHELLE SCHEPPEGRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019706) |
Enumeration Date | 2022-01-24 |
Last Update Date | 2025-04-01 |