| NPI | 1336412592 |
|---|---|
| Former Name | MICHELLE MARIE MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9355361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00364200n) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2013-07-22 |