| NPI | 1033343298 |
|---|---|
| Former Name | MICHELLE A LIGHTFOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology Pediatric Urology (Licence: WA MD60857749) |
| Additional Taxonomies | 208800000X Urology (Licence: CA N/A) |
| 2088P0231X Urology Pediatric Urology (Licence: GA 075711) | |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2021-05-25 |