| NPI | 1457037780 |
|---|---|
| Former Name | MICHELLE MARIE WESLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 24933) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KY 7473) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-23 |