NPI | 1174966782 |
---|---|
Former Name | MICHELLE ANGELINA LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 4871) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9475056) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2021-12-13 |