| NPI | 1487956843 |
|---|---|
| Former Name | MICHELLE WEN GOURLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0103440) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP000945) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2018-09-11 |