NPI | 1487675047 |
---|---|
Other Name | MICHELLE MARIE COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01063237A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 15341R) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2022-10-20 |