| NPI | 1275918989 |
|---|---|
| Former Name | MICHELLE A ENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023204) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9230578) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2023-09-28 |