| NPI | 1134596802 |
|---|---|
| Former Name | MICHELLE LYNN PHILLIPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9238670) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN280179) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9238670) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2024-05-07 |