| NPI | 1477538585 |
|---|---|
| Former Name | MICHELLE MARIE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 38685) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01059900A) |
| 207N00000X Dermatology (Licence: VA 0101252959) | |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2022-09-29 |