| NPI | 1265291074 |
|---|---|
| Former Name | MICHELLE ANGELA BENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NM 66892) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |