NPI | 1679073522 |
---|---|
Former Name | MICHELLE LEE HUML |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI RN-86702) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 664278) |
Enumeration Date | 2018-02-16 |
Last Update Date | 2018-02-16 |