| NPI | 1679721740 |
|---|---|
| Former Name | MICHELLE MARIE VAN SAMBEEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126251) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 663916) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2019-01-07 |