| NPI | 1619230331 |
|---|---|
| Former Name | MICHELLE LYNN JANDURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP2237122) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL aprn2237122) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2024-02-14 |