| NPI | 1144288192 |
|---|---|
| Former Name | MICHELLE LYNN DALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.07577) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2025-02-28 |