| NPI | 1528785623 |
|---|---|
| Former Name | MICHELLE WALI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1100690) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 900666) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-12-08 |