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 | 2020-09-17 |