| NPI | 1093964744 |
|---|---|
| Former Name | MICHELE LYNN FORRESTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO NP 5783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 69479) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2010-06-29 |