NPI | 1245633502 |
---|---|
Other Name | MICHELLE MARIE ROYAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP7340) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN155660) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2018-03-23 |