| NPI | 1346539558 |
|---|---|
| Former Name | MICHELLE L MACMAHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP120038) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 707991) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2015-01-09 |