| NPI | 1588251318 |
|---|---|
| Former Name | MICHELLE LYNN CROUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209022202) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209.022202) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2024-06-27 |