| NPI | 1851821060 |
|---|---|
| Former Name | MICHELLE L EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382751) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 382751) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 328751) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-06-29 |