| NPI | 1811480437 |
|---|---|
| Former Name | MICHELLE CELENA HADDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9250637) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9250637) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2025-02-11 |