| NPI | 1477013589 |
|---|---|
| Former Name | MICHELLE MARIE SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN319345) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019120) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209019120) | |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2023-08-03 |