| NPI | 1427294552 |
|---|---|
| Former Name | MICHELLE L MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024167705) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167705) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024167705) | |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2024-05-17 |