| NPI | 1679231690 |
|---|---|
| Former Name | AUDREY MICHELLE DARBONNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025875) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2021048680) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2021048680) | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-06-12 |