Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1013551696 |
---|---|
Provider Name | Michelle Misherfi |
First Address | Las Vegas, NV 89104-3733 |
Second Address | Las Vegas, NV 89104-3733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2019 |
Last Update Date | 12/02/2021 |