| NPI | 1992270888 |
|---|---|
| Former Name | MICHELLE WILLEMARCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018340) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018340) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2025-11-13 |