| NPI | 1720183411 |
|---|---|
| Former Name | MICHELLE K DONLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000249) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-12-10 |