| NPI | 1922678812 |
|---|---|
| Former Name | MICHELLE MARIE SANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0996645-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0996645-NP) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0996645-NP) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |