| NPI | 1841822343 |
|---|---|
| Former Name | MICHELLE LYNN STEVENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01013400) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-11-10 |