| NPI | 1326533373 |
|---|---|
| Former Name | MICHELLE LEI MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP61033178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 022889) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-04-08 |