| NPI | 1326384264 |
|---|---|
| Former Name | MICHELLE MARIE WOODBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-76611-122) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 714109) |
| 163W00000X Registered Nurse (Licence: KS 14-129654-122) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 122795) | |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2019-10-12 |