| NPI | 1336780113 |
|---|---|
| Former Name | MICHELLE SHULMAN REPOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00965700) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2020-03-02 |