| NPI | 1780340489 |
|---|---|
| Former Name | MICHELLE LYNN HARMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 8685) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 8685) | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2024-04-09 |