| NPI | 1679118483 |
|---|---|
| Former Name | MICHELLE SPEZIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704313212) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 470313212) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2022-12-21 |