| NPI | 1295914430 |
|---|---|
| Former Name | MICHELLE YOLANDA WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA07513600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA07513600) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2011-03-02 |