| NPI | 1093716995 |
|---|---|
| Former Name | MICHELE LYNN LYTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2160) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-09-08 |