| NPI | 1730837782 |
|---|---|
| Former Name | MICHELLE MARIE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.161321.MEDS-IV) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-08-09 |