| NPI | 1336577352 |
|---|---|
| Former Name | MICHELLE SRIJAYANTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 234918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006544) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2022-02-04 |