| NPI | 1942889035 |
|---|---|
| Former Name | MICHELLE LAUREN WOODCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 326698) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-05-09 |