| NPI | 1982725768 |
|---|---|
| Former Name | MICHELLE BROADHURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRNCNP0034385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 117889) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0034385) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-07-25 |