NPI | 1538353073 |
---|---|
Former Name | MICHELLE E WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71000690A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000690A) |
363LF0000X Nurse Practitioner, Family (Licence: OH 11479) | |
Enumeration Date | 2007-08-28 |
Last Update Date | 2023-01-03 |