| NPI | 1477650018 |
|---|---|
| Former Name | MICHELLE MASSARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704125128) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 1831079) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2009-04-08 |