| NPI | 1053647248 |
|---|---|
| Former Name | MICHELLE LEIGH DEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003113A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 2009009290) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2015-01-23 |