| NPI | 1336161678 |
|---|---|
| Former Name | MICHELLE NICOLE FOGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 9206273) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9206273) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-05-22 |