| NPI | 1780647917 |
|---|---|
| Other Name | MICHELLE IRENE STABBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 31305-031) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: WI 31305-031) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |