| NPI | 1962123323 |
|---|---|
| Former Name | MICHELLE NICOLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60295273) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-09-05 |