| 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 |