| NPI | 1326319013 |
|---|---|
| Former Name | MICHELLE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 204496-7) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2016-12-02 |