| NPI | 1699291534 |
|---|---|
| Former Name | MICHELLE SARETTE MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.022138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 368237) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |