| NPI | 1073801734 |
|---|---|
| Former Name | MICHELLE K CRAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003631A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28179417A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209018042) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2021-09-30 |