| NPI | 1730409681 |
|---|---|
| Former Name | MICHELLE K. WILFONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA 11855-NA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.290639-COA1) |
| 163W00000X Registered Nurse (Licence: OH RN290639) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2012-02-01 |