| NPI | 1538596200 |
|---|---|
| Former Name | MICHELLE LYNN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5223) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN188438) |
| 363L00000X Nurse Practitioner (Licence: TX AP124394) | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2020-09-03 |