| NPI | 1255813218 |
|---|---|
| Former Name | MICHELLE CHRISTINE JANSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.017945) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-017945) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2024-01-29 |