| NPI | 1871145896 |
|---|---|
| Former Name | MICHELLE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202214409NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60974078) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60974078) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-04-09 |