| NPI | 1407497027 |
|---|---|
| Former Name | MICHELLE ERIN WORMSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704321950) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704321950) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2022-03-28 |