| NPI | 1023309614 |
|---|---|
| Professional Name | MICHELLE LEE BRANTON LOCKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP5739) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ rn140533) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2021-07-19 |