| NPI | 1669788378 |
|---|---|
| Former Name | MICHELLE LYNN WHETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19833) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010759) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2016-02-03 |