| NPI | 1467702167 |
|---|---|
| Former Name | MICHELLE R DUDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009184) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 836709) |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 31675.1231) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4632) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2024-04-17 |