| NPI | 1992045538 |
|---|---|
| Former Name | MICHELLE OWEN WILBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS 860590) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2025-02-20 |