| NPI | 1285452565 |
|---|---|
| Former Name | MICHELLE ELIZABETH GORSUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-10-14 |