NPI | 1508060310 |
---|---|
Former Name | MICHELLE L LANGLEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 52877) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017297) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2018-08-30 |