| NPI | 1871739995 |
|---|---|
| Former Name | MICHELLE KRISTIE KONKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 15751-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 161780-030) |
| 363L00000X Nurse Practitioner (Licence: WI 15751) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2025-01-03 |