| NPI | 1659650604 |
|---|---|
| Former Name | MICHELLE J STAUDENMAIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4459-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 144179-30) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-09-11 |