| NPI | 1437104544 |
|---|---|
| Former Name | MICHELLE MARIE MONTELBANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD00045790) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00045790) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-03-07 |