| NPI | 1982041695 |
|---|---|
| Former Name | MICHELLE MARIE TOLAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9416381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337960) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2023-02-03 |