| NPI | 1467024281 |
|---|---|
| Former Name | MICHELLE LEIGH LUKOMSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC LUKO-63AB4) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-05-12 |