| NPI | 1932725421 |
|---|---|
| Former Name | MICHELLE NIEBOER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704321981) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704321981) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2022-10-24 |